How are adolescents with acquired brain injury using computer-mediated communication?: a systematic review of the literature

PURPOSE: To systematically review the literature on the use of computer-mediated communication (CMC) for social participation by adolescents with acquired brain injury (ABI), characterize patterns of use, perceived benefits and challenges, and existing supports for this population. METHODS: Following PRISMA guidelines, we searched seven databases (CINAHL, Ovid Medline, APA PsycINFO, Allied and Complementary Medicine Database (AMED), Embase, SpeechBITE and the Cochrane Database for Systematic Reviews) and grey literature from inception to January 2024, and hand-searched references. The PCC framework guided the inclusion of English-language articles on adolescents aged 13-18 with ABI, focusing on CMC use in community or outpatient settings. Quality of the included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklists. Results were synthesized using thematic analysis. RESULTS: Nine studies met inclusion criteria. Thematic analysis identified five major themes: navigating adolescent ABI, the digital landscape, technology as a facilitator, leveraging CMC and parental involvement to support autonomy, and synergies for CMC within rehabilitation settings. CONCLUSION: CMC can support social participation for adolescents with ABI; however, significant knowledge gaps exist regarding access barriers and effective supports. Further research is needed to develop specialized training for rehabilitation professionals to support adolescents with ABI in accessing CMC safely.